I-capnograph sisixhobo esibalulekileyo sonyango esisetyenziselwa ukuvavanya impilo yokuphefumla. Ilinganisa ukuxinana kwe-CO₂ ekuphefumleni okuphumayo kwaye ngokuqhelekileyo kubhekiselwa kuyo njengei-end-tidal CO₂ (EtCO2) esweni.Esi sixhobo sibonelela ngemilinganiselo yexesha lokwenyani kunye negraphical waveform displays (iicapnograms), enika ulwazi oluxabisekileyo kwisigulana somoya.

Isebenza njani iCapnography?

Nantsi indlela esebenza ngayo emzimbeni: ioksijini ingena kwigazi ngemiphunga kwaye ixhasa inkqubo yemetabolism yomzimba. Njengeproduct ye-metabolism, i-carbon dioxide iyaveliswa, ibuyiselwe emiphungeni, emva koko ikhutshwe. Ukulinganisa ubungakanani be-CO₂ emoyeni okhutshweyo kunika ulwazi olubalulekileyo malunga nokuphefumla kwesigulane kunye nomsebenzi we-metabolic.

Ilinganisa njani iCapnograph CO2?

I-capnograph monitor ilinganisa ukuphefumla okuphumayo ngokubonisa uxinzelelo oluyinxenye lwe-CO₂ kwifomathi yefomathi yamaza kwigridi ye-x kunye ne-y-axis. Ibonisa zombini iifom zamaza kunye nemilinganiselo yamanani. Ufundo oluqhelekileyo lwe-CO₂ (EtCO₂) oluqhelekileyo lusuka kwi-30 ukuya kwi-40 mmHg. Ukuba i-EtCO yesigulana2iwela ngaphantsi kwe-30 mmHg, ingabonisa imiba efana nokungasebenzi kakuhle kwe-tube endotracheal okanye ezinye iingxaki zonyango ezichaphazela ukungena kwe-oxygen.

Iindlela ezimbini eziphambili zoMlinganiso werhasi ekhutshiweyo

UkuJonga i-EtCO2 engundoqo

Kule ndlela, i-adapter ye-airway kunye negumbi lokusampula elidibeneyo lifakwe ngokuthe ngqo kwi-airway phakathi kwesiphaluka sokuphefumula kunye ne-endotracheal tube.

Sidestream EtCO2Monitoring

Inzwa ibekwe ngaphakathi kweyunithi ephambili, kude nomgaqo womoya. Ipompo encinci isoloko inqwenela iisampuli zegesi exhasiweyo ukusuka kwisigulane ngomgca wesampulu ukuya kwiyunithi ephambili. Umgca wesampulu unokudityaniswa kwi-T-piece kwi-endotracheal tube, i-anesthesia mask i-adapter ye-anesthesia, okanye ngokuthe ngqo kwi-nasal cavity nge-sampling nasal cannula ene-adapter zempumlo.

Kukho neentlobo ezimbini eziphambili zeemonitha.

Enye yi-capnograph ephathwayo ye-EtCO₂ capnograph, egxile kuphela kulo mlinganiso.

Enye imodyuli ye-EtCO₂ edityaniswe kwi-monitor ye-multiparameter, enokulinganisa iiparitha ezininzi zesigulane ngexesha elinye. Iimonitha zebhedi, izixhobo zegumbi lokusebenza, kunye ne-EMS defibrillators zihlala zibandakanya i-EtCO₂ imilinganiselo yokulinganisa.

Intonizi Ukusetyenziswa kweklinikhi yeCapnograph?

• Impendulo engxamisekileyo: Xa isigulane sifumana ukubanjwa kokuphefumula okanye ukubanjwa kwentliziyo, ukubeka iliso kwe-EtCO2 kunceda abasebenzi bezonyango ngokukhawuleza bahlole imeko yokuphefumula kwesigulane.
• Ukubeka iliso rhoqo: Kwizigulane ezigula kakhulu ezisengozini yokuphazamiseka kokuphefumla ngokukhawuleza, ukubeka iliso okuqhubekayo kokuphela kwe-CO₂ kunika idatha yexesha langempela lokufumanisa nokuphendula utshintsho ngokukhawuleza.
• Inkqubo yokuthomalalisa: Ingaba utyando oluncinci okanye olukhulu, xa isigulane sihlaliswa, ukubeka iliso kwe-EtCO2 kuqinisekisa ukuba isigulane sigcina umoya owaneleyo kuyo yonke inkqubo.
• UVavanyo lweMiphuphu yoMsebenzi: Kwizigulane ezineemeko ezingapheliyo ezifana ne-apnea yokulala kunye nesifo esingapheliyo se-pulmonary (COPD), i-capnographs inceda ekuhloleni ukusebenza kwemiphunga yabo.

Kutheni i-EtCO₂ Monitoring ithathwa njengoMgangatho wokuKhathalela?

I-Capnography ngoku yamkelwa ngokubanzi njengowona mgangatho wokhathalelo kwiseto ezininzi zeklinikhi. Imibutho ekhokelayo yezonyango kunye nezigqeba ezilawulayo-ezifana ne-American Heart Association (AHA) kunye ne-American Academy of Pediatrics (AAP) -ifake i-capnography kwizikhokelo zabo zekliniki kunye neengcebiso. Kwiimeko ezininzi, kuthathwa njengento ebalulekileyo yokubeka iliso kwisigulane kunye nokunyamekela kokuphefumula.

EtCO2 Monitoring vs SpO2Ukubeka iliso

Xa kuthelekiswa ne-pulse oximetry (SpO₂),EtCO2ukubeka iliso kunika uncedo olwahlukileyo. Ngenxa yokuba i-EtCO₂ ibonelela ngengqiqo yexesha langempela kwi-ventilation ye-alveolar, iphendula ngokukhawuleza kwiinguqu zesimo sokuphefumla. Kwiimeko zokuthomalalisa ukuphefumla, amanqanaba e-EtCO₂ atshintsha ngokukhawuleza, ngelixa ukuhla kwe-SpO₂ kunokurhoxa ngemizuzwana ukuya kwimizuzu. Ukubeka iliso okuqhubekayo kwe-EtCO2 kunceda oogqirha ukuba babone ukuwohloka kokuphefumla kwangaphambili, banikezela ngexesha elibalulekileyo lokungenelela kwangethuba ngaphambi kokuba i-oxygen saturation yehle.

EtCO2 esweni

Ukubeka iliso kwe-EtCO2 kubonelela ngovavanyo lwexesha lokwenyani lokutshintshiselana kwegesi yokuphefumla kunye ne-alveolar ventilation. Amanqanaba e-EtCO2 aphendula ngokukhawuleza kwizinto ezingaqhelekanga zokuphefumla kwaye azichatshazelwa kakhulu yi-oksijeni eyongezelelweyo. Njengendlela yokubeka iliso engangeneleliyo, i-EtCO2 isetyenziswa ngokubanzi kwiindawo ezahlukeneyo zeklinikhi.

I-Pulse Oximetry Monitoring

Ukujongwa kwe-Pulse oximetry (SpO₂).isebenzisa isivamvo somnwe esingena-invasive ukulinganisa amanqanaba e-oxygen saturation yegazi, eyenza ukubonwa okusebenzayo kwe-hypoxemia. Obu buchule busebenziseka busebenziseka kwaye bufanelekele ngokuqhubekayo ukubeka iliso ecaleni kwebhedi kwizigulana ezingaguli kakhulu.

Ungazikhetha njani izincedisi zeCO₂ kunye nezinto ezisetyenziswayo?

UMntla Melika ngoku ulawula imarike, ubalelwa malunga ne-40% yengeniso yehlabathi, ngelixa i-Asia-Pacific kulindeleke ukuba ibhalise ukukhula ngokukhawuleza, kunye ne-CAGR eqikelelweyo ye-8.3% ngexesha elifanayo. Ihamba phambili kwihlabathiesweni isigulaneabavelisi-ezifanaIiPhilips (IiRespironics), I-Medtronic (Oridion), UMasimo, kunye ne-Mindray-baqhubeka behlaziya kwi-teknoloji ye-EtCO2 ukuhlangabezana neemfuno eziguqukayo ze-anesthesia, ukunakekelwa okubalulekileyo, kunye neyeza likaxakeka.

Ukuhlangabezana neemfuno zeklinikhi kunye nokuphucula ukusebenza kakuhle kwabasebenzi bezonyango, i-MedLinket igxile ekuphuhliseni nasekuveliseni izinto ezisetyenziswayo eziphezulu, ezifana nemigca yesampula, i-adapters ye-airway, kunye nemigibe yamanzi. Inkampani izinikele ekunikeni amaziko ononophelo lwezempilo kunye nezisombululo ezithembekileyo ezisetyenziswayo kuzo zombini i-standard kunye ne-sidestream monitoring, ehambelana neempawu ezininzi ezikhokelayo zezigulane, ezinegalelo ekuphuhliseni intsimi yokubeka iliso yokuphefumula.

Abenzi boluvo abaphambili etco2kwayeiiadaptha zomoyazezona zincedisi zixhaphakileyo kunye nezinto ezisetyenziswayo zokubekwa iliso kwesiqhelo.

Ukubeka iliso ecaleni,ukuqwalasela ukubandakanya, izinzwa ezisecaleni, kunyeimigibe yamanziCO2 Umgca wesampulu, kuxhomekeke kucwangciso lwakho kunye neemfuno zogcino.

Amanzi Trap Series
Umenzi we-OEM & Iimodeli		Umfanekiso weRef		OEM #		Ikhowudi yomyalelo		Iinkcazelo
I-Mindray ehambelanayo (eTshayina)
I-BeneView, i-iPM, iMEC, i-PM, i-MEC-2000 iimonitha zechungechunge, i-PM-9000/7000/6000 series, i-BeneHeart defibrillator				115-043022-00 (9200-10-10530)		RE-WT001A		I-Dryline water trap, i-Adult / Pediatirc yemodyuli ye-slot ezimbini, 10pcs / ibhokisi
				115-043023-00 (9200-10-10574)		RE-WT001N		Dryline water trap, Neonatal for dual-slot module, 10pcs / ibhokisi
KwiBeneVision, iimonitha zeBeneView				115-043024-00 (100-000080-00)		RE-WT002A		I-Dryline II i-trap yamanzi, i-Adult / Pediatirc kwimodyuli ye-slot single, 10pcs / ibhokisi
				115-043025-00 (100-000081-00)		RE-WT002N		I-Dryline II i-trap yamanzi, i-Neonatal ye-modyuli ye-slot enye, 10pcs / ibhokisi
I-GE ehambelanayo
Imodyuli ye-GE Solar Sidestream EtCO₂, GE MGA-1100 Mass Spectrometer GE Advantage System, EtCO₂ Iinkqubo zeSampuli				402668-008		CA20-013		Isigulane esinye sisebenzise i-0.8 micron Fitter, i-Luer Lock eqhelekileyo, i-20pcs / ibhokisi
I-GE Healthcare gventilator, monitor, machine anesthesia with E-miniC gas module				8002174		CA20-053		Umthamo wesikhongozeli sangaphakathi ngu> 5.5mL, 25pcs/box
I-Drager ehambelanayo
I-Drager ehambelanayo ye-Babytherm 8004/8010 Babylog VN500 ventilator				6872130		WL-01		Isigulane esinye sisebenzise i-Waterlock, i-10pcs / ibhokisi
IiPhilips ezihambelanayo
Imodyuli ehambelanayo:Philips – IntelliVue G5				M1657B / 989803110871		CA20-008		Umgibe wamanzi we-Philips, i-15pcs / ibhokisi
IiPhilips ezihambelanayo						CA20-009		Philips amanzi trap Rack
Imodyuli ehambelanayo:Philips – IntelliVue G7ᵐ				989803191081		WL-01		Isigulane esinye sisebenzise i-Waterlock, i-10pcs / ibhokisi

CO2 Umgca wesampulu
Isidibanisi sesigulane	Umfanekiso wesidibaniso sesigulane	Ujongano lwesixhobo	Umfanekiso wojongano lwesixhobo
Iplagi yeLuer		Iplagi yeLuer
Umgca wesampulu wohlobo lwe-T		Philips (Respironics) iplagi
Umgca wokusampula we-L		Iplagi yeMedtronic(Oridion)
Umgca wesampulu yeempumlo		Iplagi yeMasimo
Umgca wesampulu yempumlo/yomlomo		/	/